Malone, NY · Franklin County

No notary required

Water Turn On/Off Request Form

Village of Malone property owners use this form to request that water service be turned on or off at a service location.

What this form is

Use this form to request a water service turn-on or turn-off from the Village of Malone; it requires 24 hours’ notice. It asks for the tax map and utility account numbers, contact and service-location details, desired dates, and the reason for shutoff, if applicable. The signer acknowledges the listed service conditions and that fees are due before staff take action.

Who needs it

A property owner requesting water service to be turned on or off, or an authorized alternate representative, should use this form.

How to submit it

Submit it to the Village of Malone at 343 West Main Street, Malone, NY 12953, or fax it to (518) 481-6737 or (518) 483-0351. The form says fees are due before staff take action.

About notarization

This document is signed and dated without a notary; the form lists no notarized attachment or related sworn step.

How to submit this form

  1. 1

    Download The Form

    Download the Water Turn On/Off Request Form.

  2. 2

    Complete The Request

    Enter the account and service details, desired dates, reason for shutoff if applicable, and comments.

  3. 3

    Arrange Authorization

    If the property owner will not be present, provide a statement authorizing the service request.

  4. 4

    Sign And Submit

    Sign and date the form, then submit it to the Village of Malone by mail or fax. The form requires 24 hours’ notice.

Frequently asked questions

Do I need a notary for the Water Turn On/Off Request Form?
No. This document is signed and dated without a notary, and it lists no notarized attachment or related sworn step.
How do I submit the Water Turn On/Off Request Form?
Submit it to the Village of Malone at 343 West Main Street, Malone, NY 12953, or fax it to (518) 481-6737 or (518) 483-0351.
How much notice does the form require?
The form states that 24 hours’ notice is required for a water turn-on or turn-off request.
What information does the form ask for?
It asks for tax map and utility account numbers, the name, date, service location and phone number, desired turn-on and turn-off dates, the reason for shutoff, comments, and a signature.

Need something notarized?

This Water Turn On/Off Request Form doesn’t need a notary — but if you have another Malone form that does, a commissioned online notary can help.